title: Back to the floor Friday: evaluation of the impact on the patient experience.
abstract: OBJECTIVE
  The aim of the study was to evaluate the 'Back to the floor Friday' (BtfF) initiative, whereby senior nurses returned to the floor, in particular its impact on patient experience and patient care.
  
  
  BACKGROUND
  Propositions were that improvements would result from strengthened visible clinical leadership through monitoring standards, supporting staff, resolving problems, acting as advocates and implementing change.
  
  
  METHODS
  Participatory action research: BtfF population surveyed; five focus groups comprising 20 multi-professional staff; interviews with nine therapists, 45 nurses, one nurse specialist and four patients. Data analysed using qualitative content analysis.
  
  
  RESULTS
  Empowerment, learning together, professional networking, communication, championing change and 'Matron Power' were positive themes and perceived staff benefits arising from BtfF. Staff provided anecdotal examples of patient benefits but tangible evidence of improvements were more difficult to identify.
  
  
  CONCLUSIONS
  Long-term evaluation of the impact of BtfF on patients is needed. Nurse specialists, matrons and clinical educators felt that the initiative did not impact significantly on day-to-day roles. Nurses across the workforce needed clarity around propositions behind the change.
  
  
  CONCLUSIONS
  Enablers to the initiative were supportive line management, senior leadership and peer support. Clarity of purpose is important to drive effective change.
authors.affiliation: NHS London, 105 Victoria Street, London, UK. Kathryn.jones@london.nhs.uk
authors.forename: Kathryn
authors.initials: K
authors.lastname: Jones
authors.forename: Lauren
authors.initials: L
authors.lastname: Griffiths
mesh_terms: D002983:Clinical Competence; D055812:Community-Based Participatory Research / Q000379:methods*; D017144:Focus Groups; D019538:Health Care Surveys; D006801:Humans; D007857:Leadership; D008880:Midwifery; D009718:Nurse Administrators; D024802:Nurse's Role; D009723:Nurse-Patient Relations; D015403:Nursing Evaluation Research; D015399:Nursing Research; D009745:Nursing, Supervisory; D010379:Peer Group; D016730:Program Development; D036301:Qualitative Research; D011787:Quality of Health Care / Q000592:standards*; D012944:Social Support; D013222:State Medicine; D006113:United Kingdom